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    Revision Liposuction

    Revision liposuction is a surgical procedure used to correct irregularities and/or undesirable end results from prior liposuction surgery. Typically, revision liposuction is performed no fewer than six months after the initial liposuction procedure. Revision liposuction procedures are even more challenging than the initial liposuction procedure because they require more aesthetic finesse in terms of perfecting contour irregularities not obtained during the first surgery. Most commonly, patients seek revision liposuction because a prior surgery removed either too much or too little fat. Liposuction, like many other cosmetic surgery procedures, is extremely “operator dependent” which means a great deal of the result depends on the skills, judgment and experience of the particular surgeon.

    I have performed revision liposuction on patients from all around the globe, and I have found that the main determining factor of the amount of correction possible depends on where the damage was done; superficial or deep.  Damage done to the superficial fatty layer is much more difficult to correct than contour deformities created in the deeper fatty layer.  If the damage is found to be in the superficial fatty layer, revision liposuction alone will usually not suffice in correcting the underlying skin problem. These types of deformities will usually require a skin tightening procedure performed in tandem with the corrective liposuction procedure. If the problem is found to be in the deeper fatty layer it is usually entirely fixable with liposuction and/or fat grafting alone. In the deeper fatty layer, there can be two types of resulting deformities: bulges from too much fat being left behind and indentions where too much fat was removed. In general, the bulges can be removed with additional liposuction and the visible contour deformities (i.e. dents) can be filled with fat grafting.

    Since liposuction does not employ a magic wand that prevents you from gaining weight in the future, the cause of the post-operative contour deformities must be determined prior to performing any revision liposuction. True areas of “incomplete” liposuction must be distinguished from areas of simple post-operative weight gain. Although it may be more difficult to gain weight after surgery in the areas where liposuction was performed, it is still entirely possible to store more fat in these areas if one does not engage in a proper diet and exercise programs after the surgery. Remember, liposuction decreases the overall concentration of fat cells in a given area, but the remaining fat cells can still increase in size by storing more and more fat, thereby partially recreating your original trouble area. Liposuction is not meant to be a free pass to eat everything you want after surgery because your body can continue to grow and expand with over-eating.

    To find out more about liposuction please contact us at 310-246-2355

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